• Title/Summary/Keyword: 객혈

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Multicystic Pulmonary Parenchymal Lesions in a Young Adult with Hemoptysis (폐실질내 다발성 낭종으로 발현한 기관지기원낭)

  • Choi, Kyoung A;Koh, Won-Jung;Lee, Kyung Soo;Han, Joungho;Kim, Kwhanmien
    • Tuberculosis and Respiratory Diseases
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    • v.62 no.1
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    • pp.71-73
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    • 2007
  • Bronchogenic cysts are commonly located in the mediastinum or lung parenchyma, and arise from the abnormal budding of the primitive tracheobronchial tube. Cough and pain are the most common symptoms. Bronchogenic cysts appear as spherical or oval masses with smooth outlines and are usually unilocular and noncalcified. We report a young adult with a bronchogenic cyst presenting as multicystic pulmonary parenchymal lesions. This case is very unusual because a multicystic intrapulmonary bronchogenic cyst is very rare in adults.

A Case of Anomalous Systemic Arterial Supply to Normal Basal Segments of Left Lower Lobe (좌하엽으로의 비정상적인 체순환 1예)

  • Kim, Jae Deok;Kim, Youn Seup;Lim, Hong Mok;Lee, Sang Rok;Lee, Kye Young
    • Tuberculosis and Respiratory Diseases
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    • v.56 no.1
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    • pp.97-102
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    • 2004
  • Anomalous systemic arterial supply to the lung is a rare congenital anomaly. The lung supplied by the anomalus systemic artery has a normal bronchial tree, which is usually in the basal segment of the lung, especially in the left lung. Most of patients are asymptomatic, but the main clinical symptoms of this disease are hemoptysis and exertional dyspnea. CT is useful for the diagnosis and showed a retrocardiac nodular shadow connected to the descending aorta branching into the basal segments of the relatively normal lower lobe. Surgery is indicated for all patients. Here we report a case of anomalous systemic arterial supply to normal basal segments of left lower lobe in a patient with hemoptysis with a review of the relevant literature.

Case report of Korean medicine treatment for Idiopathic Chronic cough and Hemoptysis (특발성 만성 기침과 객혈의 한의학적 치료 증례보고)

  • Park, Sang Eun
    • Herbal Formula Science
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    • v.30 no.2
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    • pp.101-108
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    • 2022
  • Objectives : The prevalence of chronic cough in Korea is 2.5 ± 0.2% among people over the age of 40, and the rate of idiopathic chronic cough is high. Hemoptysis is one of the respiratory emergency symptoms, and the cause is unknown in 30% of cases. This case report is to confirm the treatment of korean medicine for Idiopathic chronic cough and hemoptysis. Methods : A 74 year old female patient with idiopathic chronic cough and hemoptysis was treated with korean medicine. The patient was treated from july 21, 2021 to september 24, 2021, using herbal medicine (Chungpyebyeolgab-sangagam) and acupuncture(Sa-Am Acupunture Lung Tonifying, CV22). Idiopathic chronic cough and hemoptysis were assessed by VAS. Results : Idiopathic Chronic cough and hemoptysis improved through Korean medicine treatment. Although taking codeine phosphate and transamin was stopped, the improvement of symptoms was maintained. Conclusions : This study suggests that korean medicine treatment may be an effective therapy for treatment of idiopathic chronic cough and hemoptysis.

Hematoma-Filled Pneumatocele after CT-Guided Percutaneous Transthoracic Needle Lung Biopsy: Two Case Reports (컴퓨터단층촬영 유도 경피적 바늘 생검 이후에 발생한 혈종으로 채워진 기종: 두 건의 증례 보고)

  • Se Ri Kang
    • Journal of the Korean Society of Radiology
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    • v.84 no.1
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    • pp.311-317
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    • 2023
  • CT-guided percutaneous transthoracic needle biopsy (PTNB) plays a key role in the diagnosis of pulmonary abnormalities. Although the procedure is considered safe and effective, there exists a potential for complications, such as pneumothorax, hemorrhage, hemoptysis, air embolism, and tumor seeding. However, pneumatoceles after CT-guided PTNB have been rarely reported. Herein, we report two cases of pneumatoceles that developed immediately after PTNB for primary lung cancer. A pneumatocele filled with hematoma should be considered in cases with a newly developed nodule along the needle tract during short-term follow-up CT after PTNB.

A Case of Mixed Germ Cell Tumor of the Mediastinum (종격동에 발생한 혼합생식세포종양 1예)

  • Cho, Wook;Han, Min Soo;Kim, Kil Dong;Kim, Sung Ho;Kim, Jun Hyoung;Lee, Yang Deok;Cho, Yong Seon
    • Tuberculosis and Respiratory Diseases
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    • v.58 no.2
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    • pp.184-187
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    • 2005
  • The Mixed germ cell tumors of the mediastinum are very quite rare. The Prognosis is generally dominated by the most aggressive component, which is represented by a choriocarcinoma, an endodermal sinus tumor, an embryonal carcinoma, and a seminoma, in descending order of in the degree of malignancy. We experienced one a case of a mixed germ cell tumor at the anterior mediastinum. The patient was 27-year-old male, who complained of hemoptysis and cough. The Chest X-ray showed a well-defined lobulated mediastinal mass in the left upper lung field. The operation was done and The mass was excised surgically. A Biopsy showed elements of mature tissues, immature neuronal components, and seminoma components.

A Case of Bronchial Varices in a Patient with Severe Mitral Stenosis (중증 승모판 협착증에 동반된 기관지 정맥류)

  • Moon, Sun You;Kim, Sun Young;Cheon, Won Seok;Eom, Kwang-Seok;Jang, Seung Hun;Bahn, Joon-Woo;Kim, Dong Gyu;Jung, Ki-Suck
    • Tuberculosis and Respiratory Diseases
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    • v.58 no.2
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    • pp.174-178
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    • 2005
  • The bronchial varices in mitral stenosis are uncommon and incidentally discovered during bronchoscopy. Although bronchial varices are primarily associated with bronchial or pulmonary disease, the bronchial vein can be dilated with increased pulmonary venous pressure secondary to mitral stenosis. The bronchial varices may present massive hemoptysis. The hemoptysis can be controlled by mitral commissurotomy or mitral valve replacement in case of mitral stenosis. We report a case of bronchial varies in a patient with severe mitral stenosis. The bronchial varices were found incidentally during bronchoscopy and they were nearly disappeared by mitral valve replacement.

Massive Hemoptysis Cases Intubated with the Univent$^{(R)}$ Bronchial Blocker for Lung Protection (건측 폐보호를 위해 Univent$^{(R)}$튜브를 사용한 대량객혈환자의 증례)

  • Moon, Jae-Young;Lee, Young-Seok;Lyu, Ji-Won;Huh, Jin-Won;Hong, Sang-Bum;Kim, Sang-We;Lim, Chae-Man;Koh, Youn-Suck
    • Tuberculosis and Respiratory Diseases
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    • v.72 no.2
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    • pp.212-217
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    • 2012
  • Massive hemoptysis is a life-threatening condition and sometimes leads to death due to airway obstruction rather than exsanguinations. In a critical hemoptysis, endotracheal intubation may be necessary to maintain adequate gas exchange and protect the unaffected side of the lung. Bronchial blockers (BBs), commonly used technique for one-lung ventilation in thoracic or cardiac surgeries, are valuable devices for protecting the airway in massive endobronchial bleeding. We report three cases intubated with BBs, Univent$^{(R)}$, in massive hemoptysis. We suggest that BBs are one of the indispensable equipments for respiratory specialized wards and intensive care units.

A Case Report of a Patient with Hemoptysis Diagnosed with Bronchiectasis Treated with Hyunggaeyungyo-tang Plus Gamijihwang-tang (형개연교탕합가미지황탕(荊芥連翹湯合加味地黃湯)으로 호전된 객혈을 호소하는 기관지확장증 환자 1례)

  • Do, Ha-yoon;Kim, Jae-hyo;Yu, Chang-hwan;Kim, Eui-joong;Kim, Kwan-il;Lee, Beom-joon;Jung, Hee-jae
    • The Journal of Internal Korean Medicine
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    • v.39 no.4
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    • pp.822-830
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    • 2018
  • Objective: This case report describes the treatment of hemoptysis in a bronchiectasis patient with Hyunggaeyungyo-tang plus Gamijihwang-tang. Methods: The hemoptysis in this patient was suspected to result from bronchiectasis, which was diagnosed with a chest CT at another hospital. She was treated with a herbal medicine, Hyunggaeyungyo-tang, plus Gamijihwang-tang. The effectiveness of the treatment was evaluated by measuring the amount of hemoptysis and by a visual analogue scale (VAS) to determine the patient's quality of life. Results: After administration of Hyunggaeyungyo-tang plus Gamijihwang-tang, the severity of hemoptysis decreased, based on the amount of hemoptysis and the VAS scores. Conclusions: Hyunggaeyungyo-tang plus Gamijihwang-tang is a potent therapeutic agent for the treatment of hemoptysis.

Bronchial Artery Embolization of Massive Hemoptysis -2 cases- (대량 객혈에 대한 기관지동맥 색전술 -치험 2례-)

  • 강경훈
    • Journal of Chest Surgery
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    • v.21 no.6
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    • pp.1117-1123
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    • 1988
  • Prolapse of the aortic valve is the main cause of insufficiency of the aortic valve as a complication of ventricular septal defect. Aortic insufficiency gets worse by the progress of prolapse of aortic valve due to lack of support of the valve and the hemodynamic effect of blood flow through the ventricular septal defect. This produces typical clinical picture, that may be serious and threatening when it is untreated. Type and timing for the surgical treatment of the ventricular septal defect with aortic insufficiency is considered. Among 113 ventricular septal defect, 9 patients of ventricular septal defect with associated aortic insufficiency were experienced from June. 1983 to June 1988 at the Department of Thoracic and Cardiovascular Surgery, Chon-Buk University Hospital. Male was 6 patients and female was 3 patients. Ages were from 7 years to 24years. 5 patients were from 10 to 19 years age. 3 patients were below 10 years age. The ratio of pulmonary blood flow to systemic f low [Qp/Qs] was 1.53 and in pulmonary vascular resistance, normal or slight increase was 7 patients, moderate 1 patient, and severe 1 patient. Ventricular septal defect was subpulmonic in 5 patients and infracristal in 4 patients. Prolapse of right coronary cusp was 7 patients, right and non coronary cusp 1 patient and non coronary cusp 1 patient. Teflon patch closure of ventricular septal defect was undertaken in 3 patients and primary closure in 1 patient. Among the 4 patients of defect closure alone, one patient performed valve replacement 7 months later due to progressive regurgitation and cardiac failure and the result was good. The other 3 patients were good result. Closure of ventricular septal defect and aortic valvuloplasty performed in 4 patients. 2 patients of these required valve replacement for the sudden intractable cardiac failure and died due to low cardiac output. The cause of intractable cardiac failure was tearing of repaired valve at the fixed site. The other 2 patients were good result. Closure of ventricular septal defect and valve replacement performed in 1 patient with good result.

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Surgical Treatment For Primary Non-Small Cell Lung Cancer (원발성 비소세포성 폐암의 외과적 치료)

  • 최준영;김병균
    • Journal of Chest Surgery
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    • v.30 no.9
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    • pp.908-913
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    • 1997
  • From May 1988 to December 1995, 77 patients underwent surgical re ection for primary non-small cell lung cancer at GNUH, and were evaluated clinically. There were 65 males and 12 females(M:P=5.4:1), and the peak incidence of age was 6th decade of life(44.5%). The major symptoms were cough, hemoptysis and chest pain due to anatomical effects of the mass. Histopathologically, squamous cell carcinoma was 81.8%, adenocarcinoma 14.3%, and adenosquamous carcinoma 3.9% . There was no significant difference in survival among three groups. The pneumonectomy was performed in 26 cases(33.8%), lobectomy 30 cases(38.9%), bilobectomy 9 cases(11.7%), and overall resectability was 84.4%. The postoperative official stagings were as follows ; 26 patients of stage I(34%), 14 patients of stage II(18%), 22 patients of stage IIIa(29%), 14 patients of stage IIIb(18%), and one patients of stage IV(1%). In all cases, 3 year survival rate are showed stage 183%, stage II 26%, stage IIIa 17%, and stage IIIb 0%.

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